New criteria take into account empirical findings and the diversity across women are being recommended by experts. The epidemiological studies on women’s sexual dysfunction assessing distress consistently find a much lower prevalence of dysfunction if distress is considered. There are also problems reported by doctors and patients regarding terms to access HSDD. Recognition of the term HSDD was low, with “decrease in sexual desire” preferred. Distress, currently integral to the diagnosis of HSDD, was an unpopular term.